| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Aetna
| Professional | $72.44 | $85.11 | $95.50 | |
Kaiser Permanente
| Professional | $45.71 | $50.12 | $58.88 | |
United
| Facility | $2,454.71 | $2,454.71 | $2,454.71 | |
United
| Professional | $100.00 | $114.82 | $138.04 |